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Individual

JONATHAN PS KNISELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065
(212) 746-3610
(212) 746-8749
Mailing address
525 EAST 68TH STREET, NEW YORK, NY 10065
(212) 746-3610
(127) 746-8749

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
032330
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001323302
CT
Enumeration date
10/12/2005
Last updated
07/23/2018
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